HQM of Owensboro, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

100086 Issued in KY

Legal business name

HQM OF OWENSBORO, LLC

Doing business as

Hermitage Care & Rehabilitation Center

Practice address

1614 W Parrish Ave
Owensboro, KY 42301-3535

Phone

(270) 684-4559

NPI assigned

Jun 25, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Paul Walczak

Title

Ceo

Phone

(561) 627-0664

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Hermitage Care & Rehabilitation Center Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1679509939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1614 W PARRISH AVE",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423013535",
            "telephone_number": "270-684-4559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1614 W PARRISH AVE",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423013535",
            "telephone_number": "270-684-4559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HQM OF OWENSBORO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WALCZAK",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "561-627-0664",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "KY",
            "license": "100086",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "12504536",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hermitage Care & Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• William Howard, APRN
• Stephanie Howe, LCSW
• Christopher P Howell, APRN,FNPC
• Ivory Shae Howell, LPCC, LMHC
• Michael Kristen Howerton, MSW
• Meliha Hrustanovic-Kadic, M.D.
• Zai-Feng Huang, MD
• Marissa Hubert, LCSW, CADC
• Karen Huddleston
• Sharon J Hudson, CCC SLP

• Skilled Nursing Facility in Owensboro, KY
• Providers in Owensboro, KY by specialty
• Skilled Nursing Facility in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.